Kanserden sağ kalan çocukta COVID-19 pandemisi sırasında sanal egzersiz programının depresyon düzeyine ve ailenin algısına etkisi: olgu sunumu

Year 2024, , 63 - 68, 18.04.2024

İrem Özbay , Vesile Yıldız Kabak , Songul Atasavun Uysal

https://doi.org/10.15437/jetr.1126114

Abstract

Bu çalışmada, çocukluk çağı kanserinden kurtulan bir hastada COVID-19 pandemisi sırasında sanal egzersiz programının depresyon düzeyine etkisini araştırmak amaçlandı. Yaklaşık 4 yıl önce Akut Lenfoblastik Lösemi (ALL) tanısı konulan ve tedavi sonrası sağ kalan 8 yaşındaki erkek hastaya, yüzyüze yapılan değerlendirme sonuçlarına göre 5 haftalık alt-üst ekstremite ve gövdeyi kapsayan sanal aerobik egzersiz programı uygulandı. 5 haftanın sonunda Çocuklar İçin Depresyon Ölçeği (ÇDÖ)’ne göre depresyon düzeyinde azalma olmadı ancak aileye bu programın etkililiği hakkında sözlü sorular soruldu. Aile, COVID-19 pandemisi sürecindeki karantina dönemine rağmen bu egzersiz programının çocuklarının aktivite düzeyini artırdığını ve programın çocuklarının duygusal durumlarına olumlu etkileri olduğunu bildirdi. Gelecekteki çalışmalar için, sağ kalan çocuklarda uygulanan aerobik egzersizler sonrası ağrı ve depresyon düzeyi gibi parametreleri ölçen daha ayrıntılı sorular içeren parametrelere ihtiyaç vardır.

Keywords

Lösemi, Çocuk, Egzersiz, Depresyon

Effect of virtual exercise program on depression level and family’s perception during COVID-19 pandemic in child cancer survivor: a case report

Abstract

This study aimed to investigated the effect of a virtual exercise program on depression level during the COVID-19 pandemic in a patient who survived childhood cancer. An 8-year-old boy who was diagnosed with Acute Lymphoblastic Leukemia (ALL) about 4 years ago and survived after the treatment underwent a virtual aerobic exercise program tailered to face-to-face evaluations covering the lower and upper extremities and trunk under 5-week supervision. At the end of 5 weeks, his depression level did not decrease according to the Children's Depression Inventory (CDI), but the family was asked verbal questions about the effectiveness of this program. The family reported that despite the quarantine period during the COVID-19 pandemic, this exercise program increased the activity level of their children and that the program had positive effects on their children's emotional state. For future studies, inventories containing more detailed questions that measure parameters such as pain and depression level after aerobic exercises applied in surviving children are needed.

Keywords

Leukemia, Child, Exercise, Depression, COVID-19

References

• Organization WHO. Global initiative for childhood cancer. 2019.
• Institute NC. Childhood Cancers. 2020.
• Howlader N, Noone A, Krapcho M, et al. SEER cancer statistics review. National Cancer Institute. 1975;2008.
• Institute NC. Fast Stats: An interactive tool for access to SEER cancer statistics Surveillance Research Program. 2014.
• Board PPTE. Childhood acute lymphoblastic leukemia treatment (PDQ®). PDQ Cancer Information Summaries: National Cancer Institute (US); 2020.
• Myers RM, Balsamo L, Lu X, et al. A prospective study of anxiety, depression, and behavioral changes in the first year after a diagnosis of childhood acute lymphoblastic leukemia: a report from the Children's Oncology Group. Cancer. 2014;120:1417-1425.
• Kunin‐Batson AS, Lu X, Balsamo L, et al. Prevalence and predictors of anxiety and depression after completion of chemotherapy for childhood acute lymphoblastic leukemia: A prospective longitudinal study. Cancer. 2016;122:1608-1617.
• Organization WH. WHO Coronavirus Disease (COVID-19) Dashboard. 23 November 2020.
• Jiao WY, Wang LN, Liu J, et al. Behavioral and emotional disorders in children during the COVID-19 epidemic. J Pediatr. 2020;221:264-266.e1.
• Cheung AT, Li WHC, Ho LLK, et al. Health support to pediatric cancer survivors and their families during the COVID‐19 pandemic. Pediatr Blood Cancer. 2020;67:e28441.
• Brennan DM, Mawson S, Brownsell S. Telerehabilitation: enabling the remote delivery of healthcare, rehabilitation, and self management. Stud Health Technol Inform. 2009;145:231-248.
• de Rezende LF, Francisco VE, Franco RL. Telerehabilitation for patients with breast cancer through the COVID-19 pandemic. Breast Cancer Res Tr. 2020:815:257-259.
• Kemps H, Brouwers R, Cramer M, et al. Recommendations on how to provide cardiac rehabilitation services during the COVID-19 pandemic. Net Heart J. 2020;28:387-390.
• Lambert G. Home-based grouped telerehabilitation program in early-on survivors of childhood acute Lymphoblastic Leukemia: A pilot cohort exploring quantitative and qualitative feasibility: McGill University (Canada); 2021.
• Plowman, S.A. Muscular Strength, Endurance, and Flexibility Assessments. In S. A. Plowman & M.D. Meredith (Eds.), Fitnessgram/ Activitygram Reference Guide (4th Ed) (pp. Internet Resource). Dallas, TX: The Cooper Institute. 2013;8-1:8-55.
• Shaffer SW, Teyhen DS, Lorenson CL, et al. Y-balance test: a reliability study involving multiple raters. Mil Med. 2013;178:1264-1270.
• Kovacs M. Child depression inventory. Personality and Individual Differences. 1992.
• Oy B. Cocuklar icin Depresyon Olcegi gecerlik ve guvenirlik calismasi. Turk. Psikiyatri Dergisi. 1991;2:137-140.
• Crichton N. Visual analogue scale (VAS). J Clin Nurs. 2001;10:697-706.
• Tercyak KP, Donze JR, Prahlad S, et al. Multiple behavioral risk factors among adolescent survivors of childhood cancer in the Survivor Health and Resilience Education (SHARE) program. Pediatr Blood Cancer. 2006;47:825-830.
• Shore S, Shepard R. Immune responses to exercise in children treated for cancer. J Sport Med Phys Fit. 1999;39:240-243.
• Beulertz J, Prokop A, Rustler V, et al. Effects of a 6‐month, group‐based, therapeutic exercise program for childhood cancer outpatients on motor performance, level of activity, and quality of life. Pediatr Blood Cancer. 2016;63:127-32.
• Barakat LP, Kazak AE, Meadows AT, et al. Families Surviving Childhood Cancerf: A Comparison of Posttraumatic Stress Symptoms with Families of Healthy Children. J Pediatr Psychol. 1997;22:843-59.
• Zeltzer LK, Recklitis C, Buchbinder D, et al. Psychological status in childhood cancer survivors: a report from the Childhood Cancer Survivor Study. J Clin Oncol. 2009;27:2396-2404.
• Hudson MM, Mertens AC, Yasui Y, et al. Health status of adult long-term survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. Jama. 2003;290:1583-1592.
• Pemberger S, Jagsch R, Frey E, et al. Quality of life in long-term childhood cancer survivors and the relation of late effects and subjective well-being. Support Care Cancer. 2005;13:49-56.
• Servaes P, van der Werf S, Prins J, et al. Fatigue in disease-free cancer patients compared with fatigue in patients with chronic fatigue syndrome. Support Care Cancer. 2001;9:11-17.
• Mustian KM, Griggs JJ, Morrow GR, et al. Exercise and side effects among 749 patients during and after treatment for cancer: a University of Rochester Cancer Center Community Clinical Oncology Program Study. Support Care Cancer. 2006;14:732-741.
• Hojman P. Exercise protects from cancer through regulation of immune function and inflammation. Biochem Soc T. 2017;45:905-911.
• Tsai LLY, McNamara RJ, Moddel C, et al. Home‐based telerehabilitation via real‐time videoconferencing improves endurance exercise capacity in patients with COPD: The randomized controlled TeleR Study. Respirology. 2017;22:699-707.
• Van Straaten MG, Cloud BA, Morrow MM, et al. Effectiveness of home exercise on pain, function, and strength of manual wheelchair users with spinal cord injury: a high-dose shoulder program with telerehabilitation. Arch Phys Med Rehab. 2014;95:1810-1817.
• Camden C, Pratte G, Fallon F, et al. Diversity of practices in telerehabilitation for children with disabilities and effective intervention characteristics: results from a systematic review. Disabil Rehabil. 2020;42:3424-3436.
• Tamana SK, Ezeugwu V, Chikuma J, et al. Screen-time is associated with inattention problems in preschoolers: Results from the CHILD birth cohort study. PloS One. 2019;14:e0213995.